Individual provider Active NPI

Whitney Alexis Burrell, M.D.

  • Plastic Surgery Physician
  • Torrance, CA
National Provider Identifier
1912229808
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A125028 Issued in CA
Practice address
3640 Lomita Blvd Ste 306
Torrance, CA 90505-3904
Phone
(310) 784-0644
Fax
(310) 784-0544
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A1215028 CA
Plastic Surgery Physician 208200000X A125028 CA Primary

Addresses

Primary practice location

3640 Lomita Blvd Ste 306
Torrance, CA 90505-3904

Mailing address

3640 Lomita Blvd Ste 306
Torrance, CA 90505-3904
Phone (310) 784-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000182 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 6507003050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
JS Weill Medical College, Cornell University, 2005
Medicare assignment
May accept Medicare assignment
Group practices
South Bay Plastic Surgeons, IncGroup PAC ID 5092804856, 5 clinicians

Practice addresses (Care Compare)

3440 Lomita Blvd
Suite 100
Torrance, CA 90505-4810

3640 Lomita Blvd
Suite 306
Torrance, CA 90505-3904
Phone (310) 784-0644

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy13
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A1215028CAMDPlastic Surgery Physician
A125028CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Plastic Surgeons, Inc. Single Specialty CurrentSince Jul 22, 2014 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

3440 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 784-0644

3640 Lomita Blvd
Ste 306
Torrance, CA 90505
Phone (310) 373-8595

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1912229808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053904",
            "telephone_number": "310-784-0644",
            "fax_number": "310-784-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053904",
            "telephone_number": "310-784-0644",
            "fax_number": "310-784-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "WHITNEY",
        "middle_name": "ALEXIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A1215028",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A125028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.